NURS 3632 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Which nursing diagnosis would be most appropriate for a patient with a body mass
index (BMI) of 18?
a. Risk for Imbalanced Nutrition: More Than Body Requirements
b. Imbalanced Nutrition: More Than Body Requirements
c. Readiness for Enhanced Nutrition
d. Imbalanced Nutrition: Less Than Body Requirements - ✔✔d. Imbalanced Nutrition:
Less Than Body Requirements
✔✔A nurse nutritionist is collecting assessment data for a patient who complains of
"tiredness" and appears malnourished. The nurse orders tests for hemoglobin and
hematocrit. What condition might these tests confirm?
a. Malabsorption
b. Anemia
c. Protein depletion
d. Reduction in total muscle mass - ✔✔b. Anemia
✔✔A nurse is administering a tube feeding for a patient who is post bowel surgery.
When attempting to aspirate the contents, the nurse notes that the tube is clogged.
What would be the nurse's next action following this assessment?
a. Use warm water or air and gentle pressure to remove the clog.
b. Use a stylet to unclog the tubes.
c. Administer cola to remove the clog.
d. Replace the tube with a new one. - ✔✔a. Use warm water or air and gentle pressure
to remove the clog.
✔✔A nurse performs presurgical assessments of patients in an ambulatory care center.
Which patient would the nurse report to the surgeon as possibly needing surgery to be
postponed?
a. A 19-year-old patient who is a vegan
b. An older adult patient who takes daily nutritional drinks
c. A 43-year-old patient who takes ginkgo biloba and an aspirin daily
d. An infant who is breastfeeding - ✔✔c. A 43-year-old patient who takes ginkgo biloba
and an aspirin daily
✔✔A nurse midwife is assisting a patient who is firmly committed to natural childbirth to
deliver a full-term baby. A cesarean delivery becomes necessary when the fetus
displays signs of distress. Inconsolable, the patient cries and calls herself a failure as a
,mother. The nurse notes that the patient is experiencing what type of loss? Select all
that apply.
a. Actual
b. Perceived
c. Psychological
d. Anticipatory
e. Physical
f. Maturational - ✔✔a. Actual
b. Perceived
c. Psychological
✔✔A nurse who cared for a dying patient and his family documents that the family is
experiencing a period of mourning. Which behaviors would the nurse expect to see at
this stage? Select all that apply.
a. The family arranges for a funeral for their loved one.
b. The family arranges for a memorial scholarship for their loved one.
c. The coroner pronounces the patient's death.
d. The family arranges for hospice for their loved one.
e. The patient is diagnosed with terminal cancer.
f. The patient's daughter writes a poem expressing her sorrow. - ✔✔a. The family
arranges for a funeral for their loved one.
b. The family arranges for a memorial scholarship for their loved one.
f. The patient's daughter writes a poem expressing her sorrow.
✔✔A nurse interviews an 82-year-old resident of a long-term care facility who says that
she has never gotten over the death of her son 20 years ago. She reports that her life
fell apart after that and she never again felt like herself or was able to enjoy life. What
type of grief is this woman experiencing?
a. Somatic grief
b. Anticipatory grief
c. Unresolved grief
d. Inhibited grief - ✔✔c. Unresolved grief
✔✔A home health care nurse has been visiting a patient with AIDS who says, "I'm no
longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready
to move on." This reflects the patient's progress to which stage of death and dying?
a. Acceptance
b. Anger
c. Bargaining
d. Denial - ✔✔a. Acceptance
, ✔✔A nurse is visiting a patient with pancreatic cancer who is dying at home. During the
visit, he breaks down and cries, and tells the nurse that it is unfair that he should have
to die now when he's finally made peace with his family. Which response by the nurse
would be mostappropriate?
a. "You can't be feeling this way. You know you are going to die."
b. "It does seem unfair. Tell me more about how you are feeling."
c. "You'll be all right; who knows how much time any of us has."
d. "Tell me about your pain. Did it keep you awake last night?" - ✔✔b. "It does seem
unfair. Tell me more about how you are feeling."
✔✔A nurse is caring for a terminally ill patient during the 11 PM to 7 AM shift. The
patient says, "I just can't sleep. I keep thinking about what my family will do when I am
gone." What response by the nurse would be most appropriate?
a. "Oh, don't worry about that now. You need to sleep."
b. "What seems to be concerning you the most?"
c. "I have talked to your wife and she told me she will be fine."
d. "I'm not qualified to advise you, I suggest you discuss this with your wife." - ✔✔b.
"What seems to be concerning you the most?"
✔✔A patient tells a nurse that he would like to appoint his daughter to make decisions
for him should he become incapacitated. What should the nurse suggest he prepare?
a. POLST form
b. Durable power of attorney for health care
c. Living will
d. Allow Natural Death (AND) form - ✔✔b. Durable power of attorney for health care
✔✔A hospice nurse is caring for a patient who is terminally ill and who is on a ventilator.
After a restless night, the patient hands the nurse a note with the request: "Please help
me end my suffering." Which response by a nurse would best reflect adherence to the
position of the American Nurses Association (ANA) regarding assisted suicide?
a. The nurse promises the patient that he or she will do everything possible to keep the
patient comfortable but cannot administer an injection or overdose to cause the patient's
death.
b. The nurse tells the patient that under no condition can he be removed from the
ventilator because this is active euthanasia and is expressly forbidden by the Code for
Nurses.
c. After exhausting every intervention to keep a dying patient comfortable, the nurse
says, "I think you are now at a point where I'm prepared to do what you've been asking
me. Let's talk about when and how you want to die. - ✔✔a. The nurse promises the
patient that he or she will do everything possible to keep the patient comfortable but
cannot administer an injection or overdose to cause the patient's death.
AND SOLUTIONS GRADED A+
✔✔Which nursing diagnosis would be most appropriate for a patient with a body mass
index (BMI) of 18?
a. Risk for Imbalanced Nutrition: More Than Body Requirements
b. Imbalanced Nutrition: More Than Body Requirements
c. Readiness for Enhanced Nutrition
d. Imbalanced Nutrition: Less Than Body Requirements - ✔✔d. Imbalanced Nutrition:
Less Than Body Requirements
✔✔A nurse nutritionist is collecting assessment data for a patient who complains of
"tiredness" and appears malnourished. The nurse orders tests for hemoglobin and
hematocrit. What condition might these tests confirm?
a. Malabsorption
b. Anemia
c. Protein depletion
d. Reduction in total muscle mass - ✔✔b. Anemia
✔✔A nurse is administering a tube feeding for a patient who is post bowel surgery.
When attempting to aspirate the contents, the nurse notes that the tube is clogged.
What would be the nurse's next action following this assessment?
a. Use warm water or air and gentle pressure to remove the clog.
b. Use a stylet to unclog the tubes.
c. Administer cola to remove the clog.
d. Replace the tube with a new one. - ✔✔a. Use warm water or air and gentle pressure
to remove the clog.
✔✔A nurse performs presurgical assessments of patients in an ambulatory care center.
Which patient would the nurse report to the surgeon as possibly needing surgery to be
postponed?
a. A 19-year-old patient who is a vegan
b. An older adult patient who takes daily nutritional drinks
c. A 43-year-old patient who takes ginkgo biloba and an aspirin daily
d. An infant who is breastfeeding - ✔✔c. A 43-year-old patient who takes ginkgo biloba
and an aspirin daily
✔✔A nurse midwife is assisting a patient who is firmly committed to natural childbirth to
deliver a full-term baby. A cesarean delivery becomes necessary when the fetus
displays signs of distress. Inconsolable, the patient cries and calls herself a failure as a
,mother. The nurse notes that the patient is experiencing what type of loss? Select all
that apply.
a. Actual
b. Perceived
c. Psychological
d. Anticipatory
e. Physical
f. Maturational - ✔✔a. Actual
b. Perceived
c. Psychological
✔✔A nurse who cared for a dying patient and his family documents that the family is
experiencing a period of mourning. Which behaviors would the nurse expect to see at
this stage? Select all that apply.
a. The family arranges for a funeral for their loved one.
b. The family arranges for a memorial scholarship for their loved one.
c. The coroner pronounces the patient's death.
d. The family arranges for hospice for their loved one.
e. The patient is diagnosed with terminal cancer.
f. The patient's daughter writes a poem expressing her sorrow. - ✔✔a. The family
arranges for a funeral for their loved one.
b. The family arranges for a memorial scholarship for their loved one.
f. The patient's daughter writes a poem expressing her sorrow.
✔✔A nurse interviews an 82-year-old resident of a long-term care facility who says that
she has never gotten over the death of her son 20 years ago. She reports that her life
fell apart after that and she never again felt like herself or was able to enjoy life. What
type of grief is this woman experiencing?
a. Somatic grief
b. Anticipatory grief
c. Unresolved grief
d. Inhibited grief - ✔✔c. Unresolved grief
✔✔A home health care nurse has been visiting a patient with AIDS who says, "I'm no
longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready
to move on." This reflects the patient's progress to which stage of death and dying?
a. Acceptance
b. Anger
c. Bargaining
d. Denial - ✔✔a. Acceptance
, ✔✔A nurse is visiting a patient with pancreatic cancer who is dying at home. During the
visit, he breaks down and cries, and tells the nurse that it is unfair that he should have
to die now when he's finally made peace with his family. Which response by the nurse
would be mostappropriate?
a. "You can't be feeling this way. You know you are going to die."
b. "It does seem unfair. Tell me more about how you are feeling."
c. "You'll be all right; who knows how much time any of us has."
d. "Tell me about your pain. Did it keep you awake last night?" - ✔✔b. "It does seem
unfair. Tell me more about how you are feeling."
✔✔A nurse is caring for a terminally ill patient during the 11 PM to 7 AM shift. The
patient says, "I just can't sleep. I keep thinking about what my family will do when I am
gone." What response by the nurse would be most appropriate?
a. "Oh, don't worry about that now. You need to sleep."
b. "What seems to be concerning you the most?"
c. "I have talked to your wife and she told me she will be fine."
d. "I'm not qualified to advise you, I suggest you discuss this with your wife." - ✔✔b.
"What seems to be concerning you the most?"
✔✔A patient tells a nurse that he would like to appoint his daughter to make decisions
for him should he become incapacitated. What should the nurse suggest he prepare?
a. POLST form
b. Durable power of attorney for health care
c. Living will
d. Allow Natural Death (AND) form - ✔✔b. Durable power of attorney for health care
✔✔A hospice nurse is caring for a patient who is terminally ill and who is on a ventilator.
After a restless night, the patient hands the nurse a note with the request: "Please help
me end my suffering." Which response by a nurse would best reflect adherence to the
position of the American Nurses Association (ANA) regarding assisted suicide?
a. The nurse promises the patient that he or she will do everything possible to keep the
patient comfortable but cannot administer an injection or overdose to cause the patient's
death.
b. The nurse tells the patient that under no condition can he be removed from the
ventilator because this is active euthanasia and is expressly forbidden by the Code for
Nurses.
c. After exhausting every intervention to keep a dying patient comfortable, the nurse
says, "I think you are now at a point where I'm prepared to do what you've been asking
me. Let's talk about when and how you want to die. - ✔✔a. The nurse promises the
patient that he or she will do everything possible to keep the patient comfortable but
cannot administer an injection or overdose to cause the patient's death.
